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Prevalence and Contributing Factors of Separation Anxiety Among Preschool Children and Their Parents

Year 2025, Volume: 17 Issue: 3, 259 - 266, 29.10.2025

Abstract

Objective: This study aims to examine the prevalence of separation anxiety in preschool children and their parents, as well as the factors influencing it.
Method: In total, 667 participants were included. Data were collected using Family APGAR, Adult Separation Anxiety Questionnaire, Separation Anxiety Symptom Inventory, and Preschool Anxiety Scale-Separation Anxiety Subscale. As the scale data did not have a normal distribution, non-parametric tests were employed for statistical analysis.
Results: Separation anxiety symptoms were detected in 12% of children (10.5% among girls and 13.7% among boys). A significant correlation was determined between children’s separation anxiety and maternal separation anxiety, whereas no such relationship was observed with fathers. Symptoms were present in 46% of parents, with women being twice as likely to experience separation anxiety as men. While children’s separation anxiety was not related with gender, maternal separation anxiety was linked to early maternal return to work, sleeping separately from parents, eating meals independently, and having a dysfunctional family member. Parental separation anxiety was not related with age, education level, employment status, or the presence of health problems but was significantly related with gender, childhood and adolescent separation anxiety symptoms, and having a dysfunctional family member.
Conclusions: Identifying the problem areas of children and parents experiencing separation anxiety during the preschool period, the present study highlights the importance of interventions targeting both children and families. The findings are expected to guide primary healthcare providers in addressing separation anxiety.

References

  • 1. Dirioz M, Alkin T, Yemez B, Onur E, Eminagaoglu PN. The validity and reliability of Turkish version of Separation Anxiety Symptoms Inventory and Adult Separation Anxiety Questionnaire. Turk Psikiyatri Derg. 2012;23(2):108-16.
  • 2. Baldwin DS, Gordon R, Abelli M, Pini S. The separation of adult separation anxiety disorder. CNS Spectr. 2016;21(4):289-94.
  • 3. Schiele MA, Bandelow B, Baldwin DS, Pini S, Domschke K. A neurobiological framework of separation anxiety and related phenotypes. Eur Neuropsychopharmacol. 2020;33:45-57.
  • 4. Battaglia M, Garon-Carrier G, Côté SM, Dionne G, Touchette E, Vitaro F, et al. Early childhood trajectories of separation anxiety: Bearing on mental health, academic achievement, and physical health from mid-childhood to preadolescence. Depress Anxiety. 2017;34(10):918-27.
  • 5. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5-TR. 5th ed. Text revision. Washington (DC): APA Publishing; 2022.
  • 6. Lavallee KL, Schneider S. Separation anxiety disorder. In: Compton SN, Villabo MA, Kristensen H, editors. Pediatric anxiety disorders. 1st ed. London (UK): Academic Press; 2019. p. 151-176.
  • 7. Feriante J, Torrico TJ, Bernstein B. Separation Anxiety Disorder [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 [cited 2025 May 31]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560793/
  • 8. Orgilés M, Penosa P, Morales A, Fernández-Martínez I, Espada JP. Maternal anxiety and separation anxiety in children aged between 3 and 6 years: the mediating role of parenting style. J Dev Behav Pediatr. 2018;39(8):621-8.
  • 9. Namli Z, Ozbay A, Tamam L. Adult separation anxiety disorder: a review. Curr Approaches Psychiatry. 2022;14(1):46-56.
  • 10. Akman Y. Kindergarten students' separation anxiety scale. Turk Psychol Couns. Guid. J. 1994;2(5):13-8.
  • 11. Ozcan S, Duyan V, Incecik Y. Usage of family APGAR scale in family medicine: Study of Turkish. J Turk Fam Physician. 2011;2(3):30-7.
  • 12. Mutluer T, Gorker I, Akdemir D, Ozdemir D, Ozel OO, Vural P, et al. Prevalence, comorbidities and mediators of childhood anxiety disorders in urban Turkey: a national representative epidemiological study. Soc Psychiatry Psychiatr Epidemiol. 2023;58(6):919-29.
  • 13. Schiele MA, Domschke K. Separation anxiety disorder. Nervenarzt. 2021;92(5):426-32. (in German).
  • 14. Mohammadi MR, Badrfam R, Khaleghi A, Hooshyari Z, Ahmadi N, Zandifar A. Prevalence, comorbidity and predictor of separation anxiety disorder in children and adolescents. Psychiatr Q. 2020;91(4):1415-29.
  • 15. Moller EL, Majdandzic M, Bogels SM. Parental anxiety, parenting behavior, and infant anxiety: differential associations for fathers and mothers. J Child Fam Stud. 2015;24(9):2626-37.
  • 16. Finsaas MC, Klein DN. Is adult separation anxiety associated with offspring risk for internalizing psychiatric problems? Psychol Med. 2023;53(7):2974-82.
  • 17. Peleg O, Miller P, Yitzhak M. Is separation anxiety in adolescents and parents related to parental differentiation of self? Br J Guid Couns. 2015;43(4):413-28.
  • 18. Garon-Carrier G, Ansari A, Margolis R, Fitzpatrick C. Maternal labor force participation during the child’s first year and later separation anxiety symptoms. Health Educ Behav. 2023;50(6):792-801.
  • 19. Cooklin AR, Giallo R, D’Esposito F, Crawford S, Nicholson JM. Postpartum maternal separation anxiety, overprotective parenting, and children’s social-emotional well-being: longitudinal evidence from an Australian cohort. J Fam Psychol. 2013;27(4):618-28.
  • 20. Cooklin AR, Lucas N, Strazdins L, Westrupp E, Giallo R, Canterford L, et al. Heightened maternal separation anxiety in the postpartum: the role of socioeconomic disadvantage. J Fam Issues. 2014; 35(11): 1497-519. https://doi.org/10.1177/0192513X13481776.
  • 21. Kilic BO. The relationship between anxiety disorders in adulthood and separation anxiety in childhood and adulthood [specialization thesis]. Ankara (TR): Ankara Yildirim Beyazit University, Faculty of Medicine; 2018.
  • 22. Pini S, Abelli M, Troisi A, Siracusano A, Cassano GB, Shear KM, et al. The relationships among separation anxiety disorder, adult attachment style and agoraphobia in patients with panic disorder. J Anxiety Disord. 2014;28(8):741-6.
  • 23. Livanou M, Furtado V, Winsper C, Silvester A, Singh SP. Prevalence of mental disorders and symptoms among incarcerated youth: a meta-analysis of 30 studies. Int J Forensic Ment Health. 2019:1-15.
  • 24. Ekici F, Karaoglan G, Kandeger A, Demir LS, Guler O. Exploring overlooked anxiety disorders: a study on the prevalence of adult separation anxiety disorder and specific phobia in the general population. J Gen Med. 2023;33(6):796-805.
  • 25. Taubman-Ben-Ari O. First-time parents' personal growth: Role of parental separation anxiety. Health Soc Care Community. 2022;30(5):e2858-65.
  • 26. Bassi G, Mancinelli E, Spaggiari S, Lis A, Salcuni S, Di Riso D. Attachment style and its relationships with early memories of separation anxiety and adult separation anxiety symptoms among emerging adults. Int J Environ Res Public Health. 2022;19(14):8666.
  • 27. Yezli S, Albedah N, Bilal L, Qureshi NA, Al-Habeeb A, Koenig HG, et al. Epidemiology of adult separation anxiety disorder in the Kingdom of Saudi Arabia: results from the Saudi National Mental Health Survey. Soc Psychiatry Psychiatr Epidemiol. 2025;60(10):2429-39.
  • 28. Faraji H, Ozen ZD. The mediator role of adult separation anxiety between separation anxiety and the level of ındividuation in emerging adulthood. Mavi Atlas. 2022;10(1):47-69.
  • 29. Karaytug MO, Tamam L, Demirkol ME, Namli Z, Gurbuz M, Yesiloglu C. Impact of childhood trauma and adult separation anxiety disorder on quality of life in individuals with schizophrenia. Neuropsychiatr Dis Treat. 2023;19:181-96.

Anaokulu Çocukları ve Ebeveynlerinde Ayrılma Anksiyetesi Sıklığı ve Etkileyen Faktörler

Year 2025, Volume: 17 Issue: 3, 259 - 266, 29.10.2025

Abstract

Amaç: Ayrılma anksiyetesi, bağlanma figüründen ayrılma veya ayrılma beklentisi durumunda kaygı duyması halidir. Çalışmamızın amacı, anaokulu çocukları ve ebeveynlerinde ayrılma anksiyetesi sıklığını ve etkileyen faktörleri araştırmaktır.
Yöntem: Edirne İl Merkezi’ndeki anaokulu öğrencilerinin tamamına ulaşılması hedeflendi. 667 kişiden geri dönüş alındı. Katılımcılara kendileri ve anasınıfında okuyan çocuklarıyla ilgili sosyodemografik anket ve Aile APGAR, Yetişkin Ayrılma Anksiyetesi Anketi, Ayrılık Anksiyetesi Belirti Envanteri, Anaokulu Öğrencileri Ayrılık Kaygısı Ölçeği’nden oluşan sorular soruldu. Ölçek verileri normal dağılıma uymadığından non-parametrik testler kullanıldı.
Bulgular: Çocuklarda ayrılma anksiyetesi belirtileri %12, kızlarda %10,5 erkeklerde %13,7 bulundu. Çalışmamızda çocuklarının ayrılma anksiyetesi ile annelerin ayrılma anksiyetesi arasında anlamlı ilişki saptanırken babaları ile ilişki bulunmadı. Ebeveynlerin %46’sında belirtilerin olduğu görüldü. Ayrılma anksiyetesi kadınlarda 2 kat yüksekti. Çocukların ayrılma anksiyetesi cinsiyetleri ile ilişkili bulunmazken, annede ayrılma anksiyetesi, annenin işe erken geri dönmesi, ebeveynlerinden ayrı uyuma ve ayrı yemek yiyebilme, disfonksiyonel aile üyesi olma ile ilişkiliydi. Ebeveynlerin ayrılık anksiyetesi, yaş, eğitim düzeyi, çalışma durumu, sağlık sorunları varlığı ile ilişkili bulunmazken, cinsiyet, çocukluk ve ergenlikte ayrılma anksiyetesi belirtileri, disfonksiyonel aile üyesi olma ile ilişkiliydi.
Sonuç: Bu çalışma ile okul öncesi dönemde ayrılma anksiyetesi yaşayan çocukların ve ebeveynlerinin sorun alanlarını belirleyerek, çocuk ve ailesine yönelik uygulamaların öneminin vurgulanması, birinci basamakta ayrılma anksiyetesine yaklaşımda yol gösterici olması beklenmektedir.

References

  • 1. Dirioz M, Alkin T, Yemez B, Onur E, Eminagaoglu PN. The validity and reliability of Turkish version of Separation Anxiety Symptoms Inventory and Adult Separation Anxiety Questionnaire. Turk Psikiyatri Derg. 2012;23(2):108-16.
  • 2. Baldwin DS, Gordon R, Abelli M, Pini S. The separation of adult separation anxiety disorder. CNS Spectr. 2016;21(4):289-94.
  • 3. Schiele MA, Bandelow B, Baldwin DS, Pini S, Domschke K. A neurobiological framework of separation anxiety and related phenotypes. Eur Neuropsychopharmacol. 2020;33:45-57.
  • 4. Battaglia M, Garon-Carrier G, Côté SM, Dionne G, Touchette E, Vitaro F, et al. Early childhood trajectories of separation anxiety: Bearing on mental health, academic achievement, and physical health from mid-childhood to preadolescence. Depress Anxiety. 2017;34(10):918-27.
  • 5. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5-TR. 5th ed. Text revision. Washington (DC): APA Publishing; 2022.
  • 6. Lavallee KL, Schneider S. Separation anxiety disorder. In: Compton SN, Villabo MA, Kristensen H, editors. Pediatric anxiety disorders. 1st ed. London (UK): Academic Press; 2019. p. 151-176.
  • 7. Feriante J, Torrico TJ, Bernstein B. Separation Anxiety Disorder [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 [cited 2025 May 31]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560793/
  • 8. Orgilés M, Penosa P, Morales A, Fernández-Martínez I, Espada JP. Maternal anxiety and separation anxiety in children aged between 3 and 6 years: the mediating role of parenting style. J Dev Behav Pediatr. 2018;39(8):621-8.
  • 9. Namli Z, Ozbay A, Tamam L. Adult separation anxiety disorder: a review. Curr Approaches Psychiatry. 2022;14(1):46-56.
  • 10. Akman Y. Kindergarten students' separation anxiety scale. Turk Psychol Couns. Guid. J. 1994;2(5):13-8.
  • 11. Ozcan S, Duyan V, Incecik Y. Usage of family APGAR scale in family medicine: Study of Turkish. J Turk Fam Physician. 2011;2(3):30-7.
  • 12. Mutluer T, Gorker I, Akdemir D, Ozdemir D, Ozel OO, Vural P, et al. Prevalence, comorbidities and mediators of childhood anxiety disorders in urban Turkey: a national representative epidemiological study. Soc Psychiatry Psychiatr Epidemiol. 2023;58(6):919-29.
  • 13. Schiele MA, Domschke K. Separation anxiety disorder. Nervenarzt. 2021;92(5):426-32. (in German).
  • 14. Mohammadi MR, Badrfam R, Khaleghi A, Hooshyari Z, Ahmadi N, Zandifar A. Prevalence, comorbidity and predictor of separation anxiety disorder in children and adolescents. Psychiatr Q. 2020;91(4):1415-29.
  • 15. Moller EL, Majdandzic M, Bogels SM. Parental anxiety, parenting behavior, and infant anxiety: differential associations for fathers and mothers. J Child Fam Stud. 2015;24(9):2626-37.
  • 16. Finsaas MC, Klein DN. Is adult separation anxiety associated with offspring risk for internalizing psychiatric problems? Psychol Med. 2023;53(7):2974-82.
  • 17. Peleg O, Miller P, Yitzhak M. Is separation anxiety in adolescents and parents related to parental differentiation of self? Br J Guid Couns. 2015;43(4):413-28.
  • 18. Garon-Carrier G, Ansari A, Margolis R, Fitzpatrick C. Maternal labor force participation during the child’s first year and later separation anxiety symptoms. Health Educ Behav. 2023;50(6):792-801.
  • 19. Cooklin AR, Giallo R, D’Esposito F, Crawford S, Nicholson JM. Postpartum maternal separation anxiety, overprotective parenting, and children’s social-emotional well-being: longitudinal evidence from an Australian cohort. J Fam Psychol. 2013;27(4):618-28.
  • 20. Cooklin AR, Lucas N, Strazdins L, Westrupp E, Giallo R, Canterford L, et al. Heightened maternal separation anxiety in the postpartum: the role of socioeconomic disadvantage. J Fam Issues. 2014; 35(11): 1497-519. https://doi.org/10.1177/0192513X13481776.
  • 21. Kilic BO. The relationship between anxiety disorders in adulthood and separation anxiety in childhood and adulthood [specialization thesis]. Ankara (TR): Ankara Yildirim Beyazit University, Faculty of Medicine; 2018.
  • 22. Pini S, Abelli M, Troisi A, Siracusano A, Cassano GB, Shear KM, et al. The relationships among separation anxiety disorder, adult attachment style and agoraphobia in patients with panic disorder. J Anxiety Disord. 2014;28(8):741-6.
  • 23. Livanou M, Furtado V, Winsper C, Silvester A, Singh SP. Prevalence of mental disorders and symptoms among incarcerated youth: a meta-analysis of 30 studies. Int J Forensic Ment Health. 2019:1-15.
  • 24. Ekici F, Karaoglan G, Kandeger A, Demir LS, Guler O. Exploring overlooked anxiety disorders: a study on the prevalence of adult separation anxiety disorder and specific phobia in the general population. J Gen Med. 2023;33(6):796-805.
  • 25. Taubman-Ben-Ari O. First-time parents' personal growth: Role of parental separation anxiety. Health Soc Care Community. 2022;30(5):e2858-65.
  • 26. Bassi G, Mancinelli E, Spaggiari S, Lis A, Salcuni S, Di Riso D. Attachment style and its relationships with early memories of separation anxiety and adult separation anxiety symptoms among emerging adults. Int J Environ Res Public Health. 2022;19(14):8666.
  • 27. Yezli S, Albedah N, Bilal L, Qureshi NA, Al-Habeeb A, Koenig HG, et al. Epidemiology of adult separation anxiety disorder in the Kingdom of Saudi Arabia: results from the Saudi National Mental Health Survey. Soc Psychiatry Psychiatr Epidemiol. 2025;60(10):2429-39.
  • 28. Faraji H, Ozen ZD. The mediator role of adult separation anxiety between separation anxiety and the level of ındividuation in emerging adulthood. Mavi Atlas. 2022;10(1):47-69.
  • 29. Karaytug MO, Tamam L, Demirkol ME, Namli Z, Gurbuz M, Yesiloglu C. Impact of childhood trauma and adult separation anxiety disorder on quality of life in individuals with schizophrenia. Neuropsychiatr Dis Treat. 2023;19:181-96.
There are 29 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Fatma Güçlü Saltık 0000-0003-3596-2560

Serdar Öztora 0000-0001-9336-6009

Publication Date October 29, 2025
Submission Date March 11, 2025
Acceptance Date July 24, 2025
Published in Issue Year 2025 Volume: 17 Issue: 3

Cite

APA Güçlü Saltık, F., & Öztora, S. (2025). Prevalence and Contributing Factors of Separation Anxiety Among Preschool Children and Their Parents. Konuralp Medical Journal, 17(3), 259-266. https://doi.org/10.18521/ktd.1655576
AMA Güçlü Saltık F, Öztora S. Prevalence and Contributing Factors of Separation Anxiety Among Preschool Children and Their Parents. Konuralp Medical Journal. October 2025;17(3):259-266. doi:10.18521/ktd.1655576
Chicago Güçlü Saltık, Fatma, and Serdar Öztora. “Prevalence and Contributing Factors of Separation Anxiety Among Preschool Children and Their Parents”. Konuralp Medical Journal 17, no. 3 (October 2025): 259-66. https://doi.org/10.18521/ktd.1655576.
EndNote Güçlü Saltık F, Öztora S (October 1, 2025) Prevalence and Contributing Factors of Separation Anxiety Among Preschool Children and Their Parents. Konuralp Medical Journal 17 3 259–266.
IEEE F. Güçlü Saltık and S. Öztora, “Prevalence and Contributing Factors of Separation Anxiety Among Preschool Children and Their Parents”, Konuralp Medical Journal, vol. 17, no. 3, pp. 259–266, 2025, doi: 10.18521/ktd.1655576.
ISNAD Güçlü Saltık, Fatma - Öztora, Serdar. “Prevalence and Contributing Factors of Separation Anxiety Among Preschool Children and Their Parents”. Konuralp Medical Journal 17/3 (October2025), 259-266. https://doi.org/10.18521/ktd.1655576.
JAMA Güçlü Saltık F, Öztora S. Prevalence and Contributing Factors of Separation Anxiety Among Preschool Children and Their Parents. Konuralp Medical Journal. 2025;17:259–266.
MLA Güçlü Saltık, Fatma and Serdar Öztora. “Prevalence and Contributing Factors of Separation Anxiety Among Preschool Children and Their Parents”. Konuralp Medical Journal, vol. 17, no. 3, 2025, pp. 259-66, doi:10.18521/ktd.1655576.
Vancouver Güçlü Saltık F, Öztora S. Prevalence and Contributing Factors of Separation Anxiety Among Preschool Children and Their Parents. Konuralp Medical Journal. 2025;17(3):259-66.

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